PURA VIDA THERAPY, LLC
NPI 1053435024
Specialist in Shawnee, KS
About Pura Vida Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURA VIDA THERAPY, LLC (NPI 1053435024) is a healthcare organization registered as a specialist in Shawnee, Kansas and active in the NPI registry since March 2007. The organization lists Allen Child, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pura Vida Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pura Vida Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pura Vida Therapy, LLC's NPI number?
The NPI number for Pura Vida Therapy, LLC is 1053435024. It was assigned to this organization in the NPPES registry on March 16, 2007.
Where is Pura Vida Therapy, LLC located?
Pura Vida Therapy, LLC is located at 12480 W 62nd Ter Ste 100, Shawnee, KS 66216. The listed phone number is (913) 788-8888.
What is Pura Vida Therapy, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Pura Vida Therapy, LLC enrolled in Medicare?
Yes. Pura Vida Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pura Vida Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Pura Vida Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pura Vida Therapy, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Pura Vida Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pura Vida Therapy, LLC was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pura Vida Therapy, Llc · NPI 1053435024
Specialist organization in Shawnee, Kansas. Organization record, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1053435024 (Entity type: Organization)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Allen Child, OWNER
## Practice location
- **Address:** 12480 W 62ND TER STE 100, Shawnee, KS 66216-1871
- **Phone:** (913) 788-8888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2016
- **Other identifiers:** Medicare ID-Type Unspecified T190000 (KS); Other 3484 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1053435024) · Data from the CMS NPPES public registry.